SPRING PARK ORAL AND MAXILLOFACIAL SURGEONS (NPI# 1194784389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194784389 |
| Entity Type | Organization |
| Organization Name | SPRING PARK ORAL AND MAXILLOFACIAL SURGEONS |
| Practice Address |
407 S 4th St Clinton IA 52732-4512 |
| Practice Telephone | 5632434406 |
| Practice Fax Number | 5632438534 |
| Mailing Telephone | 5632434406 |
| Mailing Fax Number | 5632438534 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARTIE TESHAK (MANAGER) |
| Authorized Official Telephone | 5633591601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
407 S 4TH ST |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528171675 | Arthur Edward Wilk Jr. | Dentist | 34 West Main St, Clinton, CT 06413 | 2006-08-15 |
| 1366458051 | Robert Michael Alt | Dentist | 2314 N 2nd St, Clinton, IA 52732-2434 | 2006-08-01 |
| 1023049210 | Chris Dixon Hughes | Dentist | 403 Clinton Pkwy, Clinton, MS 39056-4011 | 2006-07-05 |
| 1619952314 | James Gregory Anderson | Dentist | 2130 N Charles G Seivers Blvd Ste 1, Clinton, TN 37716-6705 | 2005-12-14 |
| 1154667269 | Arthur E. Wilk, Dds, P.C. | Dentist | 34 W Main St, Clinton, CT 06413-2037 | 2012-12-17 |
| 1306145222 | Chris D Hughes, Dmd, Pa | Dentist | 403 Clinton Pkwy, Clinton, MS 39056-4011 | 2011-03-17 |
| 1316197619 | Anderson Oral and Maxillofacial Surgery P.C. | Dentist | 2130 N Charles G Seivers Blvd, Suite 1, Clinton, TN 37716-6705 | 2008-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154970655 | Advanced Oral Surgery, Pllc | Dentist | 3265 S 24th St, Council Bluffs, IA 51501-6901 | 2019-09-06 |
| 1528421237 | Timothy Scott Albright | Dentist | 2814 Northgate Dr Ste 2, Iowa City, IA 52245-9513 | 2016-03-30 |
| 1467846519 | Edward H Schaefer Iv | Dentist | 201 Ridge St Ste 308, Council Bluffs, IA 51503-4643 | 2015-03-26 |
| 1386087658 | Michael Morio | Dentist | 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 | 2013-04-16 |
| 1245550003 | Douglas Kendrick | Dentist | 451 Dental Science Bldg S, Iowa City, IA 52242-1001 | 2010-06-03 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1689802910 | Benjamin Luke Fuller | Dentist | 835 3rd Ave Sw, Cedar Rapids, IA 52404-1810 | 2009-06-25 |
| 1801093067 | Ryan A Marsh | Dentist | 7400 Fleur Dr, Ste 200, Des Moines, IA 50321-3105 | 2007-06-29 |
| 1386847630 | John D. Janulewicz | Dentist | 7400 Fleur Drive, Suite 200, Des Moines, IA 50321-3104 | 2007-06-06 |
| 1396952297 | Jonathan R Dejong | Dentist | 804 Kenyon Rd Ste 120, Fort Dodge, IA 50501-5746 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.